Fish, Carolyn E

Fish, Carolyn E is an sole proprietor health care provider with primary practice located at 67 Main St Suite 42, Brattleboro VT 05301-3908. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fish, Carolyn E can be contacted via phone (802) 257-0146.

Contact Information

Primary practice address
67 Main St Suite 42 Brattleboro VT 05301-3908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 146 Vermont

Profile Details

NPI number 1134284623
LBN Legal business name Fish, Carolyn E
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134284623 NPPES
Vermont Other 0002757 BLUE CROSS BLUE SHIELD
Vermont Other 41885 BLUE CROSS BLUE SHIELD
Vermont MEDICAID 2757 BLUE CROSS BLUE SHIELD

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